1417944265 EVENTIDE
Skilled Nursing Facility
Active
Basic Information
- Organization Name
- EVENTIDE
- Enumeration Date
- October 5, 2005
- Last Update
- October 17, 2013
- Authorized Official
- MRS. MINDI RENAE BAKER NHA
ADMINISTRATOR
Phone: (712) 263-3114
Practice Location
- Address
- 114 S 20TH ST
DENISON, IA 514422251 - Phone
- (712) 263-3114
- Fax
- (712) 263-8819
Mailing Address
- Address
- 114 S 20TH ST
DENISON, IA 514422251 - Phone
- (712) 263-3114
- Fax
- (712) 263-8819
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Custodial Care Facility | 0890475 | IA | No |
| Nursing Facility/Intermediate Care Facility | 313M00000X | Nursing Facility/Intermediate Care Facility | N/A | N/A | No |
| Skilled Nursing Facility | 314000000X | Skilled Nursing Facility | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801217 | 05 | IA | N/A |
| 0890475 | 05 | IA | N/A |
Frequently Asked Questions
What is EVENTIDE's NPI number?
EVENTIDE's NPI number is 1417944265.
Which doctor has NPI number 1417944265?
The doctor with NPI number 1417944265 is EVENTIDE.
What is EVENTIDE's practice address?
EVENTIDE's practice address is 114 S 20TH ST, DENISON, IA, 514422251.
Which doctor practices at 114 S 20TH ST, DENISON, IA, 514422251?
EVENTIDE practices at 114 S 20TH ST, DENISON, IA, 514422251.
What is EVENTIDE's phone number?
EVENTIDE's phone number is (712) 263-3114.
Who is (712) 263-3114?
(712) 263-3114 is the phone number for EVENTIDE.
What is EVENTIDE's specialty?
EVENTIDE's specialty is Skilled Nursing Facility.
What type of doctor is EVENTIDE?
EVENTIDE is a Skilled Nursing Facility.
Is EVENTIDE a Skilled Nursing Facility?
Yes, EVENTIDE is a Skilled Nursing Facility.
Is EVENTIDE still practicing?
Yes, EVENTIDE is currently practicing.
Is EVENTIDE accepting new patients?
EVENTIDE may be accepting new patients. Please call their office at (712) 263-3114 to inquire about availability.
Is NPI 1417944265 still active?
Yes, NPI 1417944265 is currently active.
Where does EVENTIDE practice?
EVENTIDE practices in DENISON, IA.